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Doctor insights on: Combivent Albuterol Ipratropium

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What is combivent (albuterol and ipratropium)?

What is combivent (albuterol and ipratropium)?

See below: It is a combo of 2 meds - they are both short acting bronchodilators ...Read more

Ventolin (Definition)

Ventolin is the trade name for the chemical / drug albuterol. This drug is a medicine to be inhaled to open the airways and it acts quickly, so it is called a "short-acting bronchodilator". The medicine comes in both a hand-held inhaler and as a liquid to be used with a nebulizer machine. It also comes in a liquid form to take by mouth, but this should not be used ...Read more


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Wilson Is there a rescue inhaler to replace Combivent (albuterol and ipratropium) that doesn't cost $375.00?

Wilson Is there a rescue inhaler to replace Combivent (albuterol and ipratropium) that doesn't cost $375.00?

Yes, but also pricey: Unfortunately all inhalers are now expensive since manufacturers were able to start re-patenting generics due to new restrictions on inert ingredients in the devices. For COPD, Atrovent (ipratropium) is effective. Ventolin or ProAir (albuterol), although better for asthma, are effective as well in COPD especially if you are on a long-acting controller such as Spiriva or Tudorza. ...Read more

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Is Combivent (albuterol and ipratropium) inhaler ok for children as young as four?

Is Combivent (albuterol and ipratropium) inhaler ok for children as young as four?

NO: Combivent (albuterol and ipratropium) is an inhaler that contains a combination of salbutamol and ipratroprium bromide. It is approved for use in copd. There is no safety data for children under 12, and hence should not be used in a child that is age 4. There are many safe alternatives that are approved for use in young children, talk with your doctor. ...Read more

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How can I find out what else my mothe rcan use for COPD beside combivent (albuterol and ipratropium)?

How can I find out what else my mothe rcan use for COPD beside combivent (albuterol and ipratropium)?

Spiriva/equivalent: People with COPD have tissue destruction which makes the midsize airways bow. In my opinion inhaled steroid still is mainstay. Then we can add spirit or equivalent to keep these midsize airways open and if there is exacerbation or as rescue, albuterol can still be used and easier to get in with the above. Steroid is for inflammation and twitchy airway stabilizer. Other experts have varied opinions. ...Read more

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Can a person using Combivent (albuterol and ipratropium) have arthritis-like side effects?

Can a person using Combivent (albuterol and ipratropium) have arthritis-like side effects?

Should not.: You will find it listed in possible side-effects, but it is quite uncommon and I can think of no reason for this happening. ...Read more

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I have recently started Combivent (albuterol and ipratropium) (4x/day) for asthma. Is this to be used as a rescue inhaler or do I use my ventolin inhaler or both?

Rescue: Combivent (albuterol and ipratropium) is a rescue inhaler and contains both albuterol and ipatropium (an anti-cholinergic). It should not be used with albuterol unless you intend to double up on the albuterol dose. You should not use Combivent (albuterol and ipratropium) solely for asthma control and in fact your asthma may get worse with using it alone. I think you will to see an allergist or pulmonologist to get you on the right path. ...Read more

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Was not taking ANYTHING for COPD Last year, now I need Combivent (albuterol and ipratropium) or A/A neb tx every 4 hours around clock. Drs don't know why. Moved to new apt 2/14?

Was not taking ANYTHING for COPD Last year, now I need Combivent (albuterol and ipratropium) or A/A neb tx every 4 hours around clock. Drs don't know why. Moved to new apt 2/14?

See below: Based on what you listed, sounds like you need to be evaluated and potentially have a few tests done. You also likely need to be on a maintenance medication. Depending on what state you are in, I would be happy to do a second opinion with you. ...Read more

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Which is better for COPD patients, albuterol inhaler or Combivent (albuterol and ipratropium) inhaler?

Unknown: Longer term studies show that both drugs are quick acting and relieve acute dyspnea/shortness of breath. It appears unlikely that either drug affects the natural history of asthma/copd. Longer acting drugs called maintenance inhalers are associated with significant decreases in exacerbation (flares) of these diseases and may affect lung function longer term. ...Read more

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Is it possible for Combivent (albuterol and ipratropium) inhaler affect a pregnancy test?

Is it possible for Combivent (albuterol and ipratropium) inhaler affect a pregnancy test?

No: Medications do not cause false positive pregnancy tests, unless the medication contains HCG or, rarely, certain antibodies. ...Read more

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Is Combivent (albuterol and ipratropium) safe for women who are pregnant or breastfeeding?

Is Combivent (albuterol and ipratropium) safe for women who are pregnant or breastfeeding?

Combivent (albuterol and ipratropium): Pregnancy class c so the benefits have to outweigh the risks. Speaking with your ob/gyn and lung specialist would be the best way to determine if this is the safest medication for you. ...Read more

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Pt. With severe COPD and is non - responsive to inhaled steroids. Has tried "most" of the inhaled albuterols, combivents, (albuterol and ipratropium) and anti-cholinergis.?

Pt. With severe COPD and is non - responsive to inhaled steroids. Has tried "most" of the inhaled albuterols, combivents, (albuterol and ipratropium) and anti-cholinergis.?

See below: I would recommend discussing this with your pulmonologist or if you need a second opinion, find someone on here that has a UT license and discuss it with them. It's possible you aren't on the right medication or maybe have a different diagnosis. ...Read more

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I'm on Combivent, (albuterol and ipratropium) Albuterol inhaler PRN, Advair 500/50 & Singular. Is it a safe combo to be on long term? I have bad asthma and I'm prone to pneumonia

I'm on Combivent, (albuterol and ipratropium) Albuterol inhaler PRN, Advair 500/50 & Singular. Is it a safe combo to be on long term? I have bad asthma and I'm prone to pneumonia

Yes...: This is a safe med combo for treatment of asthma. You should rinse your mouth and spit it out after every Advair dose to prevent thrush, a complication of inhaled steroids. If your asthma exacerbations decrease over time, it is possible that your meds can be reduced (under doctor's supervision) but this combo is safe long-term. Be sure to never smoke! ...Read more

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When taking a new prescription for combivent (albuterol and ipratropium), (albuterol and ipratropium) do I dc my advair or take them both? Have been unable to reach the prescribing doc and need to start combivent (albuterol and ipratropium).

See below: Do not stop your advair. The combivent is what is referred to as a rescue inhaler. This is taken only when needed. Continue the advair and use combivent if you have acute shortness of breath. Continue to try and get in touch with your doctor. ...Read more

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Could using a Combivent (albuterol and ipratropium) inhaler cause heart palpitations?

Could using a Combivent (albuterol and ipratropium) inhaler cause heart palpitations?

Potentially yes: Particularly if you use the Combivent (albuterol and ipratropium) inhaler more than it is prescribed to be used, since it is a beta agonist and in high doses, can possibly cause arrhythmias that would be manifested as palpitations. ...Read more

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Can Combivent (albuterol and ipratropium) inhaler make your throat sore?

Yes: The inhaler that you use has albuterol and ipatroprium. These help to open the airwarys and minimize secretions. The vehicle in the spray can be irritating to the back of the throat. You may want to ask for a spacer. ...Read more

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Will medicaid pay for albuterol & ipratropium bromide for copd.?

Albutrol and ipratro: Yes most of the state medicaid will cover it if ordered by a physician. ...Read more

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I use Albuterol & Ipratropium Bromide in my nebulizer and I used it this morning 1 1/2 later I started coughing awful. My inhaler stopped it. Reason?

I use Albuterol & Ipratropium Bromide in my nebulizer and I used it this morning 1 1/2 later I started coughing awful. My inhaler stopped it. Reason?

Cough is good: Though there is good data to suggest an inhaler used with spacer and optimal technique can be as effective as nebulized medication (in toddlers to seniors), I don't recall ever seeing it work better than a neb. Consider whether the neb "loosened up" mucus that accumulated through the night, making cough more effective; this commonly (and paradoxically) increases cough for an hour or so. ...Read more

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I know albuterol and ipratropium do the same thing, why did I get prescribed both?

Different mechanism: Albuterol and ipratroprium work by different mechanisms in the body to essentially achieve the same result. Some people respond better to one or the other, but they are often used together as a combination drug to better manage the symptoms of asthma. ...Read more

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My son got prescribed albuterol and ipratropium for every 6hrs but don't they both do the same thing?

Not really: They are different medications that work as a team to help keep the small airways open. Sometimes the albuterol will work okay alone, as the main bronchodilator. However, the other med helps block contraction of smooth muscle spasm from a different pathway. ...Read more

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I take albuterol, also ipratropium bromide, and budosemide, I mix the albuterol and ipratropium together. Is it ok to mix the budosemide w/albuterol?

I take albuterol, also ipratropium bromide, and budosemide, I mix the albuterol and ipratropium together. Is it ok to mix the budosemide w/albuterol?

No: I would not do it, just because you don't know how you're going to react to it. Although, there are commercial preparations of longer acting albuterol (salmeterol, formoterol), mixed in with a steroid (budesonide), there is no such formulation that would include short acting albuterol. ...Read more

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What's the difference between ipratropium bromide and albuterol?

What's the difference between ipratropium bromide and albuterol?

Short acting: Both drugs are short acting bronchodilators; albuterol is called a sympathomimetic drug because it affects beta receptors that line airways and cause bronchodilation. Ipratroprium is called an anticholinergic and affects muscarinic receptors that line the airways causing decreased muscle tone/constriction. Both are used in copd, emphysema, and chronic bronchitis. ...Read more

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What is the difference between ipratropium bromide and albuterol sulfate?

What is the difference between ipratropium bromide and albuterol sulfate?

ALBUTEROL/IPRATROPIU: They both cause bronchodilatation, and are often used as a combination (combivent,)used in COPD when there is bronchospasm
albuterol belongs to beta2agonist type and ipratropium blocks the affect of acytylcholine in airways and nasal passages. ...Read more

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My son has severe asthma. He's taking 2x seretide 6x atrovent (ipratropium) 6xs albuterol 1x singular with all this, he still gets breathless. Could he need oxygen?

My son has severe asthma. He's taking 2x seretide 6x atrovent (ipratropium) 6xs albuterol 1x singular with all this, he still gets breathless. Could he need oxygen?

Asthma and Oxygen: Not likely. He should see a qualified allergist/immunologist who can help treat your son. Oxygen does not have a role in the treatment of asthma chronically, only during an acute episode requiring hospitalization. Most asthmatics who get "breathless" are not getting the right set of medicines, are not inhaling them properly, or have an additional/other diagnosis. Seeing a specialist will help. ...Read more

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How do atrovent (ipratropium) & albuterol act differently in the lungs? My 5yo seems to do better when we add atrovent (ipratropium) nebs between her albuterol & pulmicort.

How do atrovent (ipratropium) & albuterol act differently in the lungs? My 5yo seems to do better when we add atrovent (ipratropium) nebs between her albuterol & pulmicort.

Mutually complement: Good morning, airway spasm in asthma results from net reduction in adrenergic (dilating) effect, or increase in bronchospastic (vagal) force. Albutrol promotes dilating force, while atrovent (ipratropium) blocks the constricting force - thus complementing the net beneficial effect on bronchial tubes. In asthma the symptoms are caused by decreased diameter of bronchial tubes. ...Read more

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I'm 22 and hav severe asthma. I'm on combivent, albuterol inhaler and neb, spirvia and singular. Phenergan (promethazine) DM not stopping SEVERE coughing?

I'm 22 and hav severe asthma. I'm on combivent, albuterol inhaler and neb, spirvia and singular. Phenergan (promethazine) DM not stopping SEVERE coughing?

Steroids and rx GERD: I agree. Treatment of your GERD which can lead to microaspiration and bronchospasm, is a high priority. You may need a course of oral steroids prior to starting inhaled steroids. I would advise pulmonary testing and follow up. ...Read more

Dr. Brian Bezack
725 Doctors shared insights

Albuterol (Definition)

Albuterol is a beta 2 agonist that stimulates the muscles in the airways to open up if they are in spasm. Typically the medicine is inhaled via a meter dosed inhaler (mdi), or a nebulizer and also available ...Read more


Dr. Tanya Russo
27 Doctors shared insights

Albuterol And Ipratropium (Definition)

Albuterol|ipratropium is an asthma beta receptor stimulator which is a kind of ...Read more


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